Search results for "Syncope"
MKSAP Quiz: Flushing of the face of 1 year's duration
A 54-year-old woman is evaluated for flushing of the face of 1 year's duration. She went through menopause at age 50 and is on estrogen and progesterone hormone therapy. Following a physical exam, which medications should be discontinued prior to screening for secondary causes of hypertension?
https://immattersacp.org/weekly/archives/2019/09/24/3.htm
24 Sep 2019
Warning for tofacitinib; generic pregabalin approved
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2019/09/warning-for-tofacitinib-generic-pregabalin-approved.htm
1 Sep 2019
MKSAP Quiz: Evaluation of a pregnant patient after a motor vehicle accident
A 25-year-old pregnant woman is evaluated in the emergency department for chest pain after a belted motor vehicle accident. Laboratory studies are significant for a low serum sodium level. What is the most likely cause?
https://immattersacp.org/weekly/archives/2019/08/06/3.htm
6 Aug 2019
MKSAP Quiz: 3-year history of fatigue
A 36-year-old woman is evaluated for a 3-year history of fatigue that worsens after activity and does not improve with rest. She also notes intermittent diffuse myalgia and arthralgia, constipation, dizziness, headaches, urinary urgency, memory problems, and paresthesias. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/04/23/3.htm
23 Apr 2019
At the end, a focus on values, purpose, attention, truth
In her final column, ACP's outgoing President looks ahead at the College's priorities and challenges to advance the dialogue that will move us into the coming decade.
https://immattersacp.org/archives/2019/04/at-the-end-a-focus-on-values-purpose-attention-truth.htm
1 Apr 2019
Prioritize PE in high-risk patients with syncope
Emergency department physicians should always do a thorough workup on patients who present with syncope, although imaging for these patients in the ED does not appear to be necessary.
https://immattersacp.org/archives/2019/02/prioritize-pe-in-high-risk-patients-with-syncope.htm
1 Feb 2019
No easy fix for concussion diagnosis, management
This issue also covers medical school debt trends, changes to hospital payments, and how to construct a patient narrative.
https://immattersacp.org/archives/2019/02/no-easy-fix-for-concussion-diagnosis-management.htm
1 Feb 2019
MKSAP Quiz: 2 weeks of painful lumps on legs
A 23-year-old woman is evaluated for 2 weeks of painful lumps on her legs. The lumps persist for several days and make it difficult for her to go to work as a waitress. She is a college student in Ohio where she has lived her whole life. Following a physical exam, negative pregnancy test, and other lab studies, what test should be done next?
https://immattersacp.org/weekly/archives/2019/01/08/3.htm
8 Jan 2019
MKSAP Quiz: 2-week history of bloody diarrhea
A 24-year-old man is evaluated in the emergency department for 2 weeks of worsening bloody diarrhea with up to 10 bloody bowel movements per day. He also reports increasing lower abdominal pain and distension and decreased stool frequency over the past day. He has had extensive ulcerative colitis for 5 years. After physical examination, laboratory studies, and abdominal radiograph, what is the appropriate next step in management?
https://immattersacp.org/archives/2019/01/mksap-quiz-2-week-history-of-bloody-diarrhea.htm
1 Jan 2019
No association between antihypertensive treatment and mortality, CVD in mild, low-risk hypertension, but some association with increased adverse events
Physicians following guidelines that generalize findings from hypertension trials conducted in high-risk individuals to those at lower risk should use caution, the study authors noted.
https://immattersacp.org/weekly/archives/2018/11/06/5.htm
6 Nov 2018